HomeMy WebLinkAbout9/20/2023 - Charitable Solicitation Disclosure FormCLERK rT
9013 SEP 20 pm,1:44
BROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS
CHARITABLE SOLICITATION DISCLOSURE FORM
Name of Elected Official:
Title: Mayor
Michelle J. Gomez
Governmental Entity Served:
City of Tamarac
List the name of the entity or cause for which, or individual for whom, you engaged in this
charitable solicitation:
Gilda's Club
Tamarac Employee Benevolent Fund (in development and will be finalized
before event. Notice has been provided in marketing materials.)
List the name(s) of any individual(s) who, or entity(ies) that, requested that you engage
in this charitable solicitation:
None
List the name(s) of any governmental staff member(s) who, at your direction or request,
assisted with this charitable solicitation:
This is part of City's Commission Initiative Program that I have organized called
"Ha-Ha's for the Tatas" to raise funds for the two charities listed above. Through
our City's initiative program, there are a couple of staff members assisting me
(Eliane Benjamin and Greg Rosenberg).
Aside from any governmental staff member(s) listed above, list any resource(s) of the
governmental entity you used in connection with the solicitation (e.g., phones, emails,
expenditures of public funds):
As part of our City's Commission Initiative Program phones and emails have
been used and there will be some expenditure of public funds, which are
allocated through this Initiative program. All expenditures are documented
through the program's procedures.
❑ Signature of Elected Official: C V. C� Date: gob
*If the solicitation disclosed on this form meets the following conditions, please check the
box next to your signature: The entity for which you are soliciting is a 501(c)
organization and you serve on a fundraising committee or on the board of directors
of such organization and periodically or regularly engage in the solicitation of
funds, goods, or services on behalf of the organization.